This case report highlights the clinical presentation and management considerations for acute cardioembolic stroke occurring in the setting of subtherapeutic anticoagulation.
Emphasizes vigilance for cardioembolic stroke with subtherapeutic anticoagulation in the elderly; hypothesis-generating case report requiring prospective validation.
Acute ischemic stroke is a sudden neurological deficit secondary to decreased or lack of blood flow (perfusion) due to a thrombus or an embolus. Embolic strokes are ischemic strokes that occur due to a distal clot that results in hypoperfusion upstream. Cardioembolic strokes are embolic strokes due to a cardiac origin. Almost a quarter of ischemic strokes are of cardioembolic etiology. Here, we present the case of an 83-year-old female presenting with right-side weakness and aphasia who arrived 45 minutes after symptom onset. Cardioembolic stroke symptoms, diagnosis, treatment, and risk factors are discussed.
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Ambatipudi et al. (2023) studied this question.
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